Assessment of outcomes in postaneurysmal subarachnoid bleed patients admitted to the intensive care unit utilizing the subarachnoid haemorrhage international trialist clinicoradiological prediction model for dichotomised functional outcome and mortal
The cohort outcomes for mortality occurred at a rate higher than the risk predictions suggested using the logistic regression created by the SAHITs. Applying the externally trained model provided adequate discrimination and modest calibration, yet underestimated risk when applied to the intensive care cohort, reflected in the probability density function analysis. Using the SAHIT models in this cohort may result in underestimation of mortality for the individual patient, and the accuracy of the model is not sufficient for individual patient prediction. These results challenge the appropriateness of using admission-based models for dynamic ICU populations and highlight the urgent need for critical care-specific prognostic tools.
Authors
- James Walsham (ORCID: https://orcid.org/0000-0001-6852-4378)
- David Mogg
Institutions
- Queensland Police Service (AU)
- Mater Health Services (AU)
- Princess Alexandra Hospital (AU)
- Mater Private Hospital (AU)
- Mater Adult Hospital (AU)
Publication Details
- Journal
- Critical Care and Resuscitation
- Published
- 2025-10-23
- DOI
- https://doi.org/10.1016/j.ccrj.2025.100126
- Primary Topic
- Intracranial Aneurysms: Treatment and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00